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नाम: ____________________ दिनांक: ____________
1.आसान
Why is carbidopa combined with levodopa?
AIt increases the breakdown of dopamine in the liver
BIt converts levodopa into dopamine inside the gut
CIt blocks dopamine receptors to reduce nausea in the brain
DIt stops levodopa turning into dopamine outside the brain
2.आसान
How do local anaesthetics such as lidocaine block pain?
AThey block voltage-gated sodium channels in nerve membranes
BThey activate opioid receptors in the spinal cord
CThey enhance the action of GABA in the brain and spinal cord
DThey block prostaglandin synthesis at the injury site
3.आसान
ऑनडेनसेट्रॉन का मुख्य उपयोग किसके उपचार में होता है?
Aबैक्टीरियल संक्रमण
Bउच्च रक्तचाप
Cकब्ज़
Dमतली और उल्टी
4.मध्यम
After several years of levodopa treatment, which problem is common?
ASevere hypoglycaemia after each dose
BPermanent hearing loss
CDyskinesias and "on–off" fluctuations in response
DComplete and permanent loss of all Parkinson's symptoms
5.मध्यम
A patient with a peanut allergy is taught to use an adrenaline auto-injector. Which statement is correct?
AThere is no need to see a doctor if the swelling goes down
BUse it only if the antihistamine has not worked after an hour
CCall emergency services after using it, even if symptoms improve
DKeep it at home so it is not lost
6.मध्यम
A patient starting niacin (nicotinic acid) complains of flushing and warmth after doses. Which advice may reduce this?
ADouble the dose to build tolerance faster
BTake aspirin 30 minutes before the niacin, if the prescriber agrees
CTake the niacin with a hot drink so that it dissolves and acts faster
DTake it on an empty stomach in a hot bath
7.कठिन
During an IV glyceryl trinitrate (nitroglycerin) infusion for chest pain, the patient's blood pressure drops to 82/50 mmHg and he feels faint. What is the nurse's first action?
AStop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
BGive a sublingual nitroglycerin tablet and increase the rate to relieve the remaining chest pain
CSit the patient fully upright and give paracetamol for the headache
DIncrease the infusion rate to improve blood flow to the heart
8.कठिन
A 19-year-old woman is starting isotretinoin for severe acne. Which requirement is most important?
ATaking the drug only at weekends
BA high-vitamin A diet to boost the effect
CWeekly hearing tests and monthly eye examinations during treatment
DReliable contraception and pregnancy tests, as it is highly teratogenic
उत्तर कुंजी
1. D · It stops levodopa turning into dopamine outside the brain
2. A · They block voltage-gated sodium channels in nerve membranes
3. D · मतली और उल्टी
4. C · Dyskinesias and "on–off" fluctuations in response
5. C · Call emergency services after using it, even if symptoms improve
6. B · Take aspirin 30 minutes before the niacin, if the prescriber agrees
7. A · Stop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
8. D · Reliable contraception and pregnancy tests, as it is highly teratogenic
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